Breast implant placement and incision points, placement points for breast implants, incision points for breast implants, breast augmentation, breast implants


Breast Implant Placement & Incision Points



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Breast Implant Placement & Incision Points

Breast Implant Placement & Incision Points

Are you considering a breast augmentation/implants procedure?  If so there are some decisions you will need to make with your plastic surgeon in regards to breast implant plancement and incision points.  These are important decisions that will effect the look and feel of your new breasts.  Many plastic surgeons will have their preferred method.  However, it is helpful to understand the different types of placement and incision points so that you can discuss this in more detail with your plastic surgeon and make a more informed decision for yourself.  


The Three Main Placement Points:

Over the Muscle - In front of the muscle, and behind the breast tissue.


  • Shorter recovery time
  • Accommodates larger implants
  • Allows for creation of cleavage


  • Rippling more visible
  • Highest capsular contracture rates
  • May have an unnatural look

Partial Submuscular - Implant is located beneath the top 2/3 of the pectoral (chest muscle).


  • Low risk of rippling
  • Low risk of capsular contracture
  • More visible mammograms


  • Longer recovery time
  • More discomfort in recovery
  • Implant size is limited 

Complete Submuscular - Implant is completely behind the pectoral muscle.


  • Lowest risk of rippling
  • Lower risk of capsular contracture
  • More visible mammograms
  • Longer recovery time
  • Longer time to settle
  • Implant size limited

The Four Types of Breast Implant Incision Points:

Periareolar Incision

This is the areola method where the incision is made around the outline of the areola, the brown or pink colored area surrounding the nipple. The surgeon’s goal is to make the incision in between the dark area of the areola and its surrounding skin, which helps to minimize the incision’s visibility.


This allows the surgeon to have the greatest control over the position of the implant, which leads to better accuracy of the implants’ placement and minimal visibility of scarring.


Up to  2-5% of patients lose nipple sensation, and 20% are unable to breast feed as compared to other incision sites. 

Transaxillary Incision:Endoscopic Armpit

This is where the transaxillary incision is created through a channel from the armpit to the breast and then the implant is placed behind the nipple, within the natural fold of the armpit tissue.

Sometimes the surgeon uses an endoscope; a small tube with surgical light and camera to guide the surgeon through the incision.


There is virtually no scaring on the breast as it is performed from a distanced incision site.


One disadvantage is that 10-15% of patients who undergo the transaxillary incision will have a greater risk of asymmetry in the breast implant’s position. 

Inframmary Incision: Crease or Fold Incision

This procedure is performed along the bottom of breast, where the inframmary incision is placed along the crease or fold of the breast and where the breast and skin come together. The surgeon creates a pocket to place the implant, and then slides it upward through the incision site and places it behind the nipple. This procedure may leave a scar along the lower portion of the breast where the bra strap lies but it can easily be hidden under a bra or swimsuit top.


This type of incision point allows the surgeon to work closely to the breast, which provides excellent visibility and accuracy of the implants placement.


TUBA Incision

A cut is made on the rim of the navel, and underneath the skin through a tunnel of fatty tissue. The surgeon then uses an endoscope to help guide a pathway from navel to breast, and a pocket is created which allows the breast implant to be inserted through the incision site, and placed behind the nipple.


With a Tuba Incision there are no incisions in the breast area, so it is almost guaranteed that there will be no breast scarring.


Because the TUBA incision is a blind procedure, the surgeon relies heavily on the endoscope to identify the breast implants placement.  This may cause some difference in asymetry and points of placement with each breast.